PET imaging of neuroinflammation: any credible alternatives to TSPO yet?
Journal
Molecular psychiatry
ISSN: 1476-5578
Titre abrégé: Mol Psychiatry
Pays: England
ID NLM: 9607835
Informations de publication
Date de publication:
13 Jul 2024
13 Jul 2024
Historique:
received:
19
12
2023
accepted:
01
07
2024
revised:
26
06
2024
medline:
13
7
2024
pubmed:
13
7
2024
entrez:
12
7
2024
Statut:
aheadofprint
Résumé
Over the last decades, the role of neuroinflammation in neuropsychiatric conditions has attracted an exponentially growing interest. A key driver for this trend was the ability to image brain inflammation in vivo using PET radioligands targeting the Translocator Protein 18 kDa (TSPO), which is known to be expressed in activated microglia and astrocytes upon inflammatory events as well as constitutively in endothelial cells. TSPO is a mitochondrial protein that is expressed mostly by microglial cells upon activation but is also expressed by astrocytes in some conditions and constitutively by endothelial cells. Therefore, our current understanding of neuroinflammation dynamics is hampered by the lack of alternative targets available for PET imaging. We performed a systematic search and review on radiotracers developed for neuroinflammation PET imaging apart from TSPO. The following targets of interest were identified through literature screening (including previous narrative reviews): P2Y12R, P2X7R, CSF1R, COX (microglial targets), MAO-B, I2BS (astrocytic targets), CB2R & S1PRs (not specific of a single cell type). We determined the level of development and provided a scoping review for each target. Strikingly, astrocytic biomarker MAO-B has progressed in clinical investigations the furthest, while few radiotracers (notably targeting S1P1Rs, CSF1R) are being implemented in clinical investigations. Other targets such as CB2R and P2X7R have proven disappointing in clinical studies (e.g. poor signal, lack of changes in disease conditions, etc.). While astrocytic targets are promising, development of new biomarkers and tracers specific for microglial activation has proven challenging.
Identifiants
pubmed: 38997465
doi: 10.1038/s41380-024-02656-9
pii: 10.1038/s41380-024-02656-9
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Agence Nationale de la Recherche (French National Research Agency)
ID : ANR-11-LABX-18-01
Organisme : Agence Nationale de la Recherche (French National Research Agency)
ID : ANR-11-LABX-0063
Organisme : Agence Nationale de la Recherche (French National Research Agency)
ID : ANR-11-IDEX-0007
Organisme : Agence Nationale de la Recherche (French National Research Agency)
ID : ANR-11-LABX-18-01
Organisme : Agence Nationale de la Recherche (French National Research Agency)
ID : ANR-21-CE18-0067-01
Organisme : Fondation ARC pour la Recherche sur le Cancer (ARC Foundation for Cancer Research)
ID : Passerelle 2023
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Nature Limited.
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